GEETHA GANGU MD (Credential# 557148) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
GEETHA GANGU MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039564. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 142 Bucks Hill Road, Southbury, CT 06488. The current status is active.
Licensee Name | GEETHA GANGU MD |
Credential ID | 557148 |
Credential Number | 1.039564 |
Credential Type | Physician/Surgeon |
Business Address |
142 Bucks Hill Road Southbury CT 06488 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2001-05-31 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-02-25 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
280228 | CSP.0030936 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2001-06-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 142 BUCKS HILL ROAD |
City | SOUTHBURY |
State | CT |
Zip Code | 06488 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jillian Jung | 582 Patriot Rd, Southbury, CT 06488 | Radiographer | 2020-08-01 ~ 2021-07-31 |
Mary E Kohler | 201 Old Highway, Southbury, CT 06488 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Theresa K Bobak | 266b Heritage Village, Southbury, CT 06488 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Kelly Watson | 800 Main Street South Suite 102, Southbury, CT 06488 | Medication Administration Certification | 2018-06-27 ~ 2020-06-26 |
Mcdonald's Rest #2104 | 44 Division St, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
Shirley A Frager | 5 West View Rd, Southbury, CT 06488 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Maureen K Boyd | 77 Shane Drive, Southbury, CT 06488 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
South Britain Oil LLC | 424 Old Field Rd, Southbury, CT 06488 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Won Ju Lee | 995 Old Field Rd, Southbury, CT 06488 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-01-31 |
Mcdonald's Rest #27001 | 652 New Haven Ave, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06488 |
City | SOUTHBURY |
Zip Code | 06488 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + SOUTHBURY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Geetha P Bhumireddy Md | 114 Woodland St, Hartford, CT 06105-4318 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Geetha Narayan | 280 Washington St, Brighton, MA 02135-3511 | Physician/surgeon | 1978-04-27 ~ 1982-11-30 |
Geetha Bhavani Kandimala | 302 Nw 76th St, Lawton, OK 73505 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Geetha Puthenveetil | 1717 N Verdugo Rd, Glendale, CA 91208-2943 | Physician/surgeon | 1999-08-03 ~ 2000-08-31 |
Geetha R Swamy Iyah Md | 1009 Woodford Drive, Keller, TX 76248 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Geetha Dhatreecharan | 1623 Grandeur Lane, Saint Joseph, MI 49085 | Physician/surgeon | 2007-11-09 ~ 2008-11-30 |
Geetha Raghuveer | 5354 Mission Wood Road, Mission Woods, KS 66205 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
Geetha Alexander | 32 Westerly Street, Yonkers, NY 10704 | Engineer-in-training | ~ |
Geetha Mohan | 195 Oriole Dr, Alpena, MI 49707-1511 | Controlled Substance Registration for Practitioner | 2014-05-13 ~ 2015-02-28 |
Geetha Ramaswamy | 3 Lafayette St #201, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
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Data Provider | Connecticut Department of Consumer Protection |
Jurisdiction | Connecticut |
Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).